NewInjury Claims Examiner (East Region) USAAInjury Claims Examiner (East Region)Tampa, FL$85,040–$162,550 / yearAs a dedicated Injury Claims Examiner (East Region), you will be responsible to adjust complex auto and homeowner bodily injury claims, UM/UIM , and small business claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes.
NewBodily Injury Claims Adjuster ($2,500 Sign-On Bonus) - Tampa, FL GEICOBodily Injury Claims Adjuster ($2,500 Sign-On Bonus) - Tampa, FLSaint Petersburg, FLWe’re in search of highly motivated Casualty Claims Examiners with prior casualty and bodily injury experience, in private passenger automotive liability claims, looking to help deliver world-class service to our clients. Negotiate claims settlements for evaluated damages with insureds, claimants and/or attorneys as assigned from letter of representation through settlement or verdict.
Executive Claims Examiner Markel Group IncExecutive Claims ExaminerTampa, FL$97,520–$134,090 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
NewCommercial Auto & General Liability Claims Examiner II TEEMA GroupCommercial Auto & General Liability Claims Examiner II"-", FLRemote$85,000–$95,000Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes. This position is perfect for a strategic thinker who excels at evaluating exposure, guiding investigative strategy, and collaborating with legal counsel to achieve fair and efficient resolutions.
Claims Examiner, Credit LotSolutions, Inc.Claims Examiner, CreditJacksonville, FLPart timeReview, evaluate, and adjudicate Credit Protection and Debt Cancellation claims by analyzing submitted documentation and determining the appropriate claim outcome (approve, pend, or deny) in accordance with policy provisions, exclusions, and eligibility requirements. Provide cross-functional support as needed, serving as a backup resource to other departments across customer service, claim adjudication, and administrative functions to ensure continuity of operations and service levels.
On-site Medical Claims Examiner AliviOn-site Medical Claims ExaminerMiami, FLMaintains the department's claim edit rules and processing claims according to client specific verification of eligibility, interpretation of program benefits and provider contracts to include manual pricing. SUMMARYThis position is intended to provide billing and claims management support to Alivi Specialty Networks and Business Process Outsourcing (BPO) Services.
Claims Examiner Heritage Insurance Holdings IncClaims ExaminerSunrise, FLThe ideal candidate will proactively manage claims through timely contact, thorough investigation, coverage analysis, damage evaluation, reserving, negotiation, and disposition while maintaining exceptional file quality and customer satisfaction. The Claims Examiner/Desk Adjuster investigates, evaluates, reserves, negotiates, and settles assigned homeowners property claims in accordance with company Best Practices and regulatory requirements.
Claims Examiner Markel Group IncClaims ExaminerTampa, FL$62,000–$85,800 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
Claims Examiner Claim Assist SolutionsClaims ExaminerFloridaRemotePosition : Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific guidelines. Allcat Claims Service is proud to support our military community and values the unique skills, leadership, and dedication that service members and veterans bring to the workforce.
Lead Claims Examiner I Amtrust Financial Services IncLead Claims Examiner IBoca Raton, FLCommunicates with internal managed care and medical resources to ensure coordination with medical providers, injured workers and employers in developing return to work strategies and treatment plans. The Lead Claims Examiner is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers.
Senior Claims Examiner - Commercial Auto Athens AdministratorsSenior Claims Examiner - Commercial AutoLake Mary, FloridaAdditional duties may be assigned: Advanced knowledge in the following areas: 1) claims handling concepts, practices, and techniques, to include but not limited to coverage issues, and product line knowledge 2) functional knowledge of law and insurance regulations in various jurisdictions 3) demonstrated advanced verbal and written communications skills 4) demonstrated advanced analytical, decision making and negotiation skills Investigate, evaluate, and determine settlement value or denial of liability for severe to major-level commercial auto claims. ATHENS POSITION DETAILS Position Title: Senior Claims Examiner – P&C Department: Property & Casualty Reports To: Claims Supervisor FLSA Status: Exempt in all state but California Job Grade: 13 Career Ladder: Next step in progression could include Complex Claims Examiner ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976.
Senior Claims Examiner General Liability Athens AdministratorsSenior Claims Examiner General LiabilityLake Mary, FloridaAdvanced knowledge in the following areas: 1) claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge 2) functional knowledge of law and insurance regulations in various jurisdictions 3) demonstrated advanced verbal and written communications skills 4) demonstrated advanced analytical, decision making and negotiation skills Investigate, evaluate, and determine settlement value or denial of liability for severe to major-level general liability claims. ATHENS POSITION DETAILS Position Title: Senior Claims Examiner – General Liability Department: Property & Casualty Reports To: Claims Supervisor FLSA Status: Exempt in all states but California Job Grade: 13 Career Ladder: Next step in progression could include Complex Claims Examiner ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976.
Executive Claims Examiner, Miscellaneous Professional E&O Markel CorporationExecutive Claims Examiner, Miscellaneous Professional E&OTampa, FL$97,520–$134,090 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
Casualty Claims Examiner ($2,500 Sign-On Bonus) - Tampa, FL GEICO GENERAL INSURANCE COMPANYCasualty Claims Examiner ($2,500 Sign-On Bonus) - Tampa, FLTampa, FLJob Requirements Minimum five (5) years of highly successful Bodily Injury claims handling experience Must have prior private passenger automotive liability claims experience Must have an active Adjuster license at time of hire Outstanding customer service and professional communication skills, both oral and written Understanding and ability to execute and comply with Department of Insurance Guidelines and Requirements as established in the Insurance Code Exceptional negotiating skills Proficient computer skills with ability to function in all Microsoft Office Programs Highly organized Ability to multi-task and prioritize successfully in a fast paced, high-volume environment Litigation handling experience, preferred but not required Demonstrated ability to exercise good judgement GEICO offers a hybrid work model that is designed to support flexibility. Job Duties and Responsibilities Provide customer service to our policyholders and those who may become our policyholders that exceed their expectations and deliver on the GEICO promise, communicating and guiding them through the claims process Assure coverage for each loss and all policy provisions before processing payments Investigate all aspects of the claim to determine liability percentage and legal responsibility Identify and evaluate claims indicators of fraud and escalate as appropriate Utilize all claims tools provided to properly evaluate liability and extent of damages Evaluate damages in accordance with investigative findings and establish value to pay only what is owed Negotiate claims settlements for evaluated damages with insureds, claimants and/or attorneys as assigned from letter of representation through settlement or verdict.
Claims Examiner, Credit The Fortegra Group IncClaims Examiner, CreditJacksonville, FLPrimary Job Functions: Review, evaluate, and adjudicate Credit Protection and Debt Cancellation claims by analyzing submitted documentation and determining the appropriate claim outcome (approve, pend, or deny) in accordance with policy provisions, exclusions, and eligibility requirements. Provide cross-functional support as needed, serving as a backup resource to other departments across customer service, claim adjudication, and administrative functions to ensure continuity of operations and service levels.
Claims Examiner - Liability Iconma LLCClaims Examiner - LiabilityFLResponsibilities: To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Claims Examiner (Bodily Injury) W. R. Berkley CorpClaims Examiner (Bodily Injury)Jacksonville, FL$75,000–$95,000 / yearKey Functions will include but not be limited to: Oversee and resolve truck, bus, commercial auto and/or public transportation bodily injury pre-litigation claims involving unrepresented and represented claimants. Utilize critical thinking and solid judgment to solve problems, make decisions and resolve complex issues inherent in handling losses, as well as plan and organize activities throughout the claim's management process.
Senior Workers' Compensation Claims Examiner - Federal Claims American International GroupSenior Workers' Compensation Claims Examiner - Federal ClaimsMiami, FL$73,000–$96,000 / yearOur Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. #insurancecareers #insurancejobs #claimsexaminer #WorkersCompClaims #WorkersCompensationClaims #paralegalcareers.
Claims Examiner, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Bodily InjuryFLTo analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
Claims Examiner Markel CorporationClaims ExaminerTampa, FL$62,000–$85,800 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
Claims Examiner - Workers Compensation | Dedicated Account | Jurisdiction/Licensing: FL - Required (Remote) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Dedicated Account | Jurisdiction/Licensing: FL - Required (Remote)FLRemoteMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Casualty Claims Examiner TWAY Trustway ServicesCasualty Claims ExaminerTampa, FloridaThe Casualty Claims Examiner will work alongside claims management, providing direction and oversight ensuring that compliance with best practices and state/local guidelines. Management reserves the right to add to, modify, or change the work assignments of the position as business needs dictate.
Claims Examiner, Credit Fortegra FinancialClaims Examiner, CreditJacksonville, FLPrimary Job Functions: Review, evaluate, and adjudicate Credit Protection and Debt Cancellation claims by analyzing submitted documentation and determining the appropriate claim outcome (approve, pend, or deny) in accordance with policy provisions, exclusions, and eligibility requirements. Provide cross-functional support as needed, serving as a backup resource to other departments across customer service, claim adjudication, and administrative functions to ensure continuity of operations and service levels.
Claims Examiner (Bodily Injury) BerkleyClaims Examiner (Bodily Injury)Jacksonville, Florida$75,000–$95,000 / yearUtilize critical thinking and solid judgment to solve problems, make decisions and resolve complex issues inherent in handling losses, as well as plan and organize activities throughout the claim’s management process. In addition, the Claims professional will control the insured’s exposures and losses, manage consultants, and achieve a prompt, fair and equitable settlement according to fair claims handling requirements.
Professional Liability Claims Examiner / Adjuster Western International StaffProfessional Liability Claims Examiner / AdjusterMiami, FloridaRemoteMust have a minimum of 5 years experience directly handling and settling commercial professional liability claims in an insurance carrier environment. Apply today to Western International Staff, your insurance staffing specialists since 1996
NewClaims Examiner, Auto | PIP | Litigation Required Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | PIP | Litigation RequiredFL$75,000–$80,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult Personal Injury Protection Claims to determine benefits due; to work with high exposure claims involving litigation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Skills: excellent oral and written communication, including presentation skills, PC literate including Microsoft Office products, analytical and interpretive skills, excellent negotiation skills, ability to work in a team environment and meet or exceed Service Expectations.
Healthcare Claims Examiner, Remote NTT DATAHealthcare Claims Examiner, RemoteTampa, FLRemoteAs part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools .
Travel Claims Examiner Customer Service Representative One80 IntermediariesTravel Claims Examiner Customer Service RepresentativeFloridaWith more than 7,000 professionals worldwide and a collective portfolio exceeding $18 billion in premium placed in 2024, our combined organization delivers a diverse trading platform for insurance carriers as well as expanded access and niche solutions for brokers and customers navigating complex and hard-to-place risks. $17.00 - $21.00 Hourly The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for this role.
Senior Examiner, Claims Molina Healthcare IncSenior Examiner, ClaimsFLProvides senior level support for claims examination activities including evaluation of adjudication of claims to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors. At least 2 years of experience in claims, and/or customer service experience in a clerical role - preferably in a managed care setting, or equivalent combination of relevant education and experience.
Examiner, Claims Molina Healthcare IncExaminer, ClaimsFLProvides support for claims examination activities including evaluation of adjudication of claims to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors. At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably in managed care, or equivalent combination of relevant education and experience.
$19.22/HR Claims Adjusters, Examiners & Investigators Moore Healthcare group$19.22/HR Claims Adjusters, Examiners & InvestigatorsFort Lauderdale, FLEutis Staffing is seeking detail-oriented and motivated Claims Adjusters, Examiners, and Investigators to join a dynamic team in Fort Lauderdale, Florida. This position offers hands-on experience reviewing claims, conducting investigations, analyzing documentation, and ensuring compliance with established policies and procedures.
NewClaim Examiner- Liability Crawford & CompanyClaim Examiner- LiabilityTampa, FLFull timeInvestigates, evaluates, negotiates and adjudicates first and third party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required. Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
Travel Claim Examiner and Customer Service Representative One80 IntermediariesTravel Claim Examiner and Customer Service RepresentativeFloridaWith more than 7,000 professionals worldwide and a collective portfolio exceeding $18 billion in premium placed in 2024, our combined organization delivers a diverse trading platform for insurance carriers as well as expanded access and niche solutions for brokers and customers navigating complex and hard-to-place risks. Utilizing your independent judgment and strong communication skills, you will gather essential information, assess coverage eligibility, and effectively communicate findings to claimants, ensuring a seamless and professional experience.
Manager - Construction Claims Markel Group IncManager - Construction ClaimsFL$97,520–$134,090 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Bodily Injury Claims Adjuster ($2,500 Sign-On Bonus) - Tampa, FL GEICO GENERAL INSURANCE COMPANYBodily Injury Claims Adjuster ($2,500 Sign-On Bonus) - Tampa, FLTampa, FLWe're in search of highly motivated Casualty Claims Examiners with prior casualty and bodily injury experience, in private passenger automotive liability claims, looking to help deliver world-class service to our clients. Negotiate claims settlements for evaluated damages with insureds, claimants and/or attorneys as assigned from letter of representation through settlement or verdict.
Director Of Field Claims - Federal Workers' Compensation American International GroupDirector Of Field Claims - Federal Workers' CompensationMiami, FLEnsures appropriate claim file reserving, claim payments, legal/allocated expenses and recoveries are effectively applied and consistent with company guidelines via review and management of Open and Closed file reviews as well as other review processes. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience.
Manager, Construction Claims Markel CorporationManager, Construction ClaimsTampa, FL$97,520–$134,090 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistFLRemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Claims Team Lead, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Team Lead, Auto | Bodily InjuryFLPRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Skills & knowledge: thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, leadership/management skills, analytical and interpretive skills, ability to work in a team environment, and the ability to meet or exceed Performance Competencies.
Claims Analyst Team Lead South Florida Community Care NetworkClaims Analyst Team LeadSunrise, FLThe Clearinghouse is a statewide system managed by the Agency for Health Care Administration (AHCA) and is designed to help protect children, seniors, and other vulnerable populations while streamlining the screening process for employers and applicants. Monitor and ensure that all Customer Relationship Management (CRM) requests and inquiries to the analyst email distribution list are completed in a timely manner.
Claims Associate - Workers Compensation | Med Only | Jurisdiction: NY and PA | Licensing: NY Licensing preferred Sedgwick Claims Management Services, Inc.Claims Associate - Workers Compensation | Med Only | Jurisdiction: NY and PA | Licensing: NY Licensing preferredFL$18.06–$22 / hourMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
VICTIM COMPENSATION CLAIMS ANALYST - 41000609 Government of FloridaVICTIM COMPENSATION CLAIMS ANALYST - 41000609TALLAHASSEE, FLDuties associated may include the following: Resolve compensability issues and independently determine eligibility for victim compensation benefits in accordance with established statutes, administrative rules, and procedures within two business days of receipt and with no margin of error; or, process and resolve caller inquiries received via the Automated Call Distribution toll-free victim services information and referral line, provider line, or agency call center. Qualifications: Three (3) years of relevant clerical or administrative experience in the areas of: accounting; claims processing; claims or benefits eligibility determination; social or victim services; disability examiner; claims adjuster; insurance adjuster; or case manager processing eligibility and benefit payments.
Senior Claims Specialist I Liberty Mutual Holding Company IncSenior Claims Specialist ITampa, FLResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss.
Claims Processor Self-Funded Marpai Administrators LLCClaims Processor Self-FundedTampa, FLRemoteFull timeMarpai Administrators (“Marpai”) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. Ability to handle large volumes of work, solve problems and manage multiple assignments while meeting critical deadlines.
NewClaims Processor Flex Benefits NFP CorpClaims Processor Flex BenefitsFL$43,000–$50,000 / yearPosition Summary:The Claims Processor is responsible for accurate and timely processing of claims which includes claims for Flexible Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), Retiree plans, Lifestyle Accounts, Parking and more. American Benefits Group (ABG) is one of the nation's leading employee benefit solution providers for Consumer Directed Health accounts, COBRA and Direct Billing services.
Major Loss Examiner Amtrust Financial Services IncMajor Loss ExaminerMaitland, FLThe successful candidate will evaluate coverage issues and risk transfer opportunities as well as ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, and proper negotiation strategy is employed. Ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, proper negotiation strategy is employed.
MEDICAL DISABILITY EXAMINER - 64004787 Government of FloridaMEDICAL DISABILITY EXAMINER - 64004787JACKSONVILLE, FL$41,738.88–$78,418.23 / yearPreferred Qualifications: Preference will be given to applicants with a bachelor's degree (or an equivalent combination of education and work experience - such as an Associate's degree with two years of work experience, or a high school diploma with four years of work experience), in one or more of the following fields: 1) Managing a caseload for an insurance, disability, vocational, social work or government program. The State's total compensation package for employees features a highly competitive set of employee benefits including: Annual and Sick Leave benefits; Nine paid holidays and one Personal Holiday each year; State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options; Retirement plan options, including employer contributions.
MEDICAL DISABILITY EXAMINER - 64083671 Government of FloridaMEDICAL DISABILITY EXAMINER - 64083671MIAMI, FL$41,739.88–$78,418.23 / yearPreferred Qualifications: Preference will be given to applicants with a bachelor's degree (or an equivalent combination of education and work experience - such as an Associate's degree with two years of work experience, or a high school diploma with four years of work experience), in one or more of the following fields: 1) Managing a caseload for an insurance, disability, vocational, social work or government program. The State's total compensation package for employees features a highly competitive set of employee benefits including: Annual and Sick Leave benefits; Nine paid holidays and one Personal Holiday each year; State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options; Retirement plan options, including employer contributions.
NewMEDICAL DISABILITY EXAMINER - 64083941 Government of FloridaMEDICAL DISABILITY EXAMINER - 64083941TAMPA, FL$41,739.88–$78,418.23 / yearPreferred Qualifications: Preference will be given to applicants with a bachelor's degree (or an equivalent combination of education and work experience - such as an Associate's degree with two years of work experience, or a high school diploma with four years of work experience), in one or more of the following fields: 1) Managing a caseload for an insurance, disability, vocational, social work or government program. The State's total compensation package for employees features a highly competitive set of employee benefits including: Annual and Sick Leave benefits; Nine paid holidays and one Personal Holiday each year; State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options; Retirement plan options, including employer contributions.
Examiner Nurse Practitioner Loyal Source Government Services LLCExaminer Nurse PractitionerFL$134,929–$164,923 / yearThe role involves reviewing the claim, performing focused assessments of claimed injuries, reviewing medical records, and potentially rendering a medical opinion based on the record review and completed Compensation & Pension (C&P) exam. Job Responsibilities: Conduct Comprehensive Medical Disability Examinations: Perform thorough and focused medical evaluations of Veterans, including reviewing their medical history, conducting physical examinations, and assessing the impact of disabilities on their daily life and functional abilities.